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I <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Pagelof2 <br /> DCPZP-2016-00737 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> SCOTT FINLEY (608)520-0029 THOMPSON CUSTOM BLDRS,LLD (608)838-3140 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 320 S BROADWAY APT 224 5830 LEXINGTON ST <br /> (City,State,Zip) (City,State,Zip) <br /> MONONA, WI 53716 MCFARLAND, WI 53558 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> JOHN @THOMPSONCUSTOMBUILDERS.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0610-093-0148-9 TOWN OF DUNN 9 SW NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 2755 TOWER RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 28 1 GREENRIDGE PARK <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> R-3 Residence .2 Description:SFR 101 -SFR(detached) <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other Public <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-AII Other <br /> ❑ YES Is/7 NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ® YES 0 NO ❑ YES ® NO 0 YES ® NO <br /> S E-2016-0361 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 24.25 Sq.Ft.1329 Sq.Ft.2345.5 <br /> 5113.5 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $496,500.00 <br /> 2 Sq.Ft. 1439 Sq.Ft. PERMIT FEE <br /> $433.51 <br /> I, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of <br /> the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as <br /> noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure <br /> to comply with any provision or condition of this permit renders this zoning permit null and void and subject <br /> to enforcement action. <br /> I acknowledge that I am responsible for complying with State and Federal laws concerning construction <br /> near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult <br /> to identify. Failure to comply may result in removal or modification of construction that violates the law or <br /> other penalties or costs. For more information, visit the Department of Natural Resources web page at <br /> www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. <br /> I hereby consent to the entry on the permitted premises by Da - •ounty zoning inspectors for the <br /> purposes of determining compliance with the zoning • •i/n-n - <br /> Owner&Agent hereby agree to comply with all Dane County : • • <br /> Ordinances.Any unauthorized change from the information ;Ally,/ er/Agent DATE: <br /> plans submitted will invalidate the permit. %.ii// r k // 2/ /6 <br /> OFFICE USE ONLY (form version 03.01.00) <br /> SURVEY r d 1•-. ? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 11/04/2016 HJH3 <br /> /�� YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> 1 . rJ <br />